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Individual

KINDRA C ENGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 436-4658
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 438-8910
(937) 436-4984

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
34008127
OH
207P00000X
Emergency Medicine Physician
Primary
34008127
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2458479
OH
Enumeration date
12/28/2005
Last updated
05/07/2020
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